The correction and prevention of the forefoot adduction in surgical treatment of patients with recurrent congenital clubfoot

On the basis of the distraction technology of bone lengthening according to Ilizarov the authors have developed a method for I metatarsus lengthening. The method was used in complex surgical treatment of 62 patients (80 feet) with the recurrent form of congenital of III-IV degree. Restoration of both foot outward shape and I metatarsus length is a key to the prevention of the forefoot adduction recurrence. The long-term results of treatment were assessed using the anatomic-and-functional evaluation of feet initial deformity for patients with recurrent congenital clubfoot according to V.I. Kouzmin (CITO, 1991). Mean age was 5,4 years, mean period of observation - 8,6 years. Rating score 71-90 was achieved for 67 (83,8 %) feet.